论文部分内容阅读
目前中国城市卫生资源呈倒金字塔格局,大部分资源集中在城市高层次医院。这种高投入、高成本的资源配置格局并未取得高健康收益。1995年对六城市调查显现出五种慢性病住院费用,15年间增长了9～26倍,且有随医院级别增高,其费用增长速度加快之势。面对着这种高额卫生费用的增幅、疾病模式的转变、人口老龄化和中年人早逝的挑战,应探索一条成本效益好的资源配置道路,重新布局和调整城市卫生资源,加强社区,拟定预防战略,建立城市社区卫生服务体系。
At present, China’s urban health resources are in an inverted pyramid pattern, and most of the resources are concentrated in high-level hospitals in cities. This high-input, high-cost resource allocation pattern has not achieved high health benefits. The survey of six cities in 1995 showed that the cost of five kinds of chronic diseases hospitalized, an increase of 9 to 26 times in 15 years, and with the increase in the level of the hospital, the rate of increase in its cost is accelerating. Faced with the increase in the high cost of health care, the transformation of disease patterns, the aging population, and the early death of middle-aged people, we should explore a cost-effective resource allocation road, re-arrange and adjust urban health resources, and strengthen the community. To formulate prevention strategies and establish an urban community health service system.